Background: In Blacks, late presentation, lack of knowledge, health infrastructural deficiencies and socio-demographic characteristics, which result in poor outcomes, are the bane of cancers. This study evaluated health access and lifestyle association with prostate cancer (PCa) knowledge and screening among black men.Methodology: This study used data from the Prostate Cancer Transatlantic Consortium familial cohort study. Data were gathered from a cross-sectional survey of 500 community-dwelling black men in Nigeria, Cameroon, and the USA. Information on sociodemographics, health care access, PCa knowledge score and screening behaviour was obtained, and the association between these variables was evaluated. Results:The majority (81.6%) were Nigerian. The age ranges were 35-49 (55.2%) and ≥65 (8.4%). The income distribution of the respondents showed that 23.3% earned <$1,000 and 30.7% (>$2,000) monthly. Only 43% had health insurance coverage, and 12% had accessed a doctor in 12 months. Respondents relied on orthodox medicine (50.8%), neighbourhood pharmacy (10.6%), self-medication (5%) and neighbourhood nurse (24.6%). The participants had either poor (45.2%) or very poor (23.2%) dietary patterns. Most (66.67%) do not engage in physical activity and about 33.33% engage in some exercises. Moreover, 87.8% and 78.3% have never had a digital rectal examination (DRE) and prostate-specific antigen (PSA) screening in their lifetime, respectively, while 6.8% and 1.6% had DRE last 1 year and 2 years, respectively. Furthermore, 65.2%, 19.8% and 15% of the respondents had poor, fair and good knowledge of PCa, respectively. Health care coverage (p < 0.001), medical care habit (p = 0.001), routine checkup (p = 0.013) were significantly associated with respondents' PCa knowledge. Routine checkup (p < 0.001) and country (p < 0.001) were significantly related to PSA screening. Conclusion:The study showed that PCa screening uptake was poor among the respondents and country of residence was associated with PCa screening behaviours. Healthcare coverage was significantly associated with PCa knowledge.
Prostate cancer (PCa) is a public health concern among Black men, however physical activity and good dietary pattern could be a key component for preventing or slowing the progression and improving prognosis of the disease. In addition, the knowledge of PCa could induce behavioral change; conversely, knowledge may not necessarily lead to change in physical activity and dietary pattern. The purpose of this study was to assess the association of PCa screening behavior and knowledge with exercise, and dietary pattern among Blacks using the Prostate Cancer Transatlantic Consortium (CaPTC) Cohort study data. A retrospective cross-sectional study was carried out among 500 participants. Information on knowledge of PCa and participants screening behaviors was obtained in three countries (Nigeria, Cameroon, and USA). Participants’ dietary pattern was evaluated using food variety score and physical activity was evaluated for those involved in moderate intense exercise. Categorical variables were presented with frequency and percentages and analyzed using chi square while continuous variables were presented using mean (standard deviation). Analysis of variance and correlation were respectively used to determine variations and associations between variables. Data were analyzed using SPSS version 22. Results showed that 78.26% and 87.37% had never screened for PCa through prostate specific antigen (PSA) and digital rectal examination (DRE), respectively. There was significant association between country and PCa screening (p=0.001 and 0.001) for PSA and DRE, respectively. Moreover, 65.2%, 19.8%, and 15% had poor, fair, and good knowledge on PCa respectively, the study showed no association between country and PCa knowledge score (p=0.151). More than half (66.7%) of the men were not engaged in moderate intense exercise and there was significant association between exercise pattern and countries (p<0.001). In addition, about 45.5% of the participants had poor dietary pattern. There was significant difference in the food variety score between the countries (p=0.001) with USA having the highest mean score (29.76±12.52). There was no association found between PSA and DRE and participants’ engagement in physical activities (p value =0.975 and 0.886, respectively), similar trend was observed with dietary pattern as PSA and DRE p-values were respectively 0.881 and 0.838. Participants’ PCa knowledge was not associated with physical activities (p=0.337) but associated with dietary pattern (p=0.006). The study showed that knowledge and screening of PCa were not associated with physical activity while dietary pattern was associated with knowledge and country only. Citation Format: Orlando Rivera Colón, Opeyemi Bolajoko, Folakemi Odedina. Prostate cancer screening behavior, exercise, and dietary pattern among Blacks: the CaPTC cohort study [abstract]. In: Proceedings of the AACR Virtual Conference: Thirteenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2020 Oct 2-4. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(12 Suppl):Abstract nr PO-069.
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